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NPISignal

Individual Healthcare Provider

Laura Trillizio, BCBA

NPI Record: ActivePsychologist — Health Service
NPI1073100160
Mount Juliet, Tennessee

Provider's NPPES record last updated: December 23, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1073100160
Primary Specialty
Psychologist — Health Service
Practice Location
Mount Juliet, Tennessee
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:49 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Health Service

    Behavioral Health & Social Service Providers

    Primary

    A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

    Taxonomy code 103TH0100X

Provider-Reported License Information

Psychologist (Tennessee)
1-18-30687
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1313 Oak Valley Dr

Mount Juliet, Tennessee 37122-7412

Phone: (615) 823-4041

Additional Practice Location

2442 N Mount Juliet Rd

Mt Juliet, Tennessee 37122-3088

Phone: (615) 823-4041

Fax: (866) 936-1472

Record Information

Enumeration Date
December 23, 2020
Provider's NPPES Record Last Updated
December 23, 2020
Certification Date
December 23, 2020
NPISignal NPPES Dataset
August 2026

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